HomeMy WebLinkAboutApplicationGørfield County
BUILDING PERM¡T
APPLICATIONRÉCÉIVED
Community Development Department
108 8th street, Suite 401
Glenwood Springs, CO 81601
(9701s4s-8212
www.ga rflelC:çou¡ly.com
TYPE OF CONSTRUCTION
Demolitionn Commercial/Multi-Family
E. Manufactured Home (Single or Multi-Level)
RerooflY nesidential (SF, Duplex orTownhome)
INVOTVED PARTIES
owner: /tí/íît/ fr'l^l /1.0 wt'Phone: ú'1{t q{('lfq'/
Property
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Email Address:
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Contractor:
Mailing Address
Email Address:
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Mailing Address
Email Address:
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Phone:
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Engineer:
Manufactured Home lnstaller:
Mailing Address
Email Address:
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Mailing Address
Email Address:
Class of Work:firuew lL
Garage:D
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PROJECT DETAILS
Describe Work:¿?^lçn rc'r Ct,"tml trt?,nlrl lt"/ûî7y' þatttoøP
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Job Address q/4 {z tttrztl p
Assessor's Parcel Number:23 q 3 zq76tûoß { ^ô3ooa î
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Property Size (5q. Ft. or Ar:res):f, o 3f a¿
# of Floors: I
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Sub.
Owner'r Valuation of Work: $0
Height:2
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Repair
Sq. Ft. of Building:
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Alteration Addition
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Move/Relocation
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and/or plans for compliance, the application may be placed on hold untilthe required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as i | :
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the'owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge
checklist.
derstand and will abide by the requirements of this
l,{tl
Property Owner Print and Sign Date
lo
munityOWTS
PROJECT DETAILS CONTINUED
ElectricPropaneatural Gas
Septic:
Type of Heat:Other
Permit #:mptDriveway Permit:
NOTICE
Author¡tv. This application for a Building Permit must be signed by the
or an authorized agent. lf the signature below is not that of the Owner,
the Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICAT¡ON
Owner of the property, described above,
a separate letter of authority, signed by
I hereby certify that I have read this Application and that the i
understand that the Building Division accepts the Application,
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy' Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. ln consideration of the issuance of the Building Permit, lagreethat land myagentswill
comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the
Building permit may be suspended or revoked, upon notice from the County, if the location, construction or use
of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other
applicable law. Review of this Application, including submittals, and inspections of the work by the Building
Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or
nformation contained above is true and correct. I
along with the plans and specifications and other
lawsrancehwitfederastateocadncolort,mneOwthat ptheAsncres.a acknowledge responsl bilitydiscrep
utwitho itatim on architectrizedncluduthoingmyarestmirhandagents,nd UCo n ationstyRegul
and/ or buiner,
I hereby acknowledge that
provided the required
Property Owner Print and Sign
unde nd the Notice and Certification above, as well as, have
co and accurate to the best of mY
0 f(
Dete
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OFFICIAT USE ONIY
Special Conditions:t7.962 7øt
oPer¡t Feek Fee:Plan MiscManu home Fee:
BP No
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BalaPaid:
'$2
Fees:
53
Zoning:occGrouo'=cks:
-¡98
BUILDING / PLANNING DIVISION
Date
)7-ffi
BuitdÍns.l Zo,nins PIan Review Checklist
btTE - 55lCPermit Number:
Æuildine
l(,t -Drivewaypermit
-/SurveYed Site Plan
fumw-
Planning/ Zoning
Zoning Sign-Off
lmpact Fees
Grade/ Topography 40%
níng lssues
Subdivisíon Plat
Property Line setback , /TnUlrUq
{n. str..* setbacks
'F F4#
Flood Plaìn
Buîlding Height
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Qw,ry
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Líst
Fire
Red Líne Plans/ StamPsl Sticker
Atta ítions
ion Signed
n Reviewer to Sign AP plícation
Parcellschedule No.
40# Snowload Letter- Manu. Homes
Soils Report
Department RevíewX8Ðò
ation Determination/ Fees
General Comments:
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